Individual provider · Type 1 NPI

Laurel T. Raines, NP

Adult Health Nurse Practitioner · Columbia, MO

NPI number 1790020519 Active

Practice location

1020 Hitt Street
Columbia, MO 65212

Fax (573) 884-0070

Mailing address

PO Box 7687
Columbia, MO 65205-7687

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X201102500 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1790020519

Laurel T. Raines, NP's National Provider Identifier is 1790020519, issued on Dec 5, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Columbia, MO. The record was last updated on Jul 8, 2018.